Individual
JILL BELL SHIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 VINECREST CT STE 1000, GREENWOOD, SC 29646-8031
(864) 725-3350
Mailing address
5617A HIGHWAY 185, HODGES, SC 29653-9508
(864) 941-0757
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
22809
SC
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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